Bethany Jane Gaffka, PHD | |
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | |
(734) 936-4000 | |
Not Available |
Full Name | Bethany Jane Gaffka |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831373794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301013740 (Michigan) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 6301013740 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568487130 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000462 |
Mailing Address | Practice Location Address |
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Bethany Jane Gaffka, PHD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Bethany Jane Gaffka, PHD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
Mr. Michael Eugene Wallace, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 E Liberty St, Suite 2, Ann Arbor, MI 48104 Phone: 734-330-3580 | |
David R Manwiller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 S Main St, Ann Arbor, MI 48104 Phone: 734-716-7049 | |
Karen Gottschalk, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104 Phone: 734-332-9184 | |
Junichi Shimaoka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1316 Packard St Apt 2, Ann Arbor, MI 48104 Phone: 408-475-8739 Fax: 734-763-0454 | |
Dr. Amy Paggeot, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite #210, Ann Arbor, MI 48105 Phone: 734-462-3210 | |
Dr. Lara N Coughlin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4250 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6443 | |
James B Franklin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 E William St, Ann Arbor, MI 48104 Phone: 248-413-7283 |